Mark Klimek Lecture 1

Mark Klimek Lecture 1
Acid-Base Rule of Bs - ANS-If the pH and the bicarb are both in the same direction, it is
metabolic

↑ pH - bicarb ↑ - ANS-Metabolic alkalosis

↓ pH - bicarb ↓ - ANS-metabolic acidosis

↓ pH - bicarb ↑ - ANS-respiratory acidosis

↑ pH - bicarb normal - ANS-respiratory alkalosis

Symptoms of Alkalosis - ANS-Hyper systems, except for K (irritable, hyper reflexes,
tachicardia, DECREASED POTASSIUM, borborygme (increased bowel sounds)

Symptoms of Acidosis - ANS-Hypo systems, except for K (paralytic, hypo reflexes,
bradycardia, lethargy, obtunded, coma, INCREASED POTASSIUM, respiratory arrest)

(Mac) Kussmaul breathing - ANS-deep, rapid, labored breathing = metabolic acidosis

Is it Lung? If so.... - ANS-Respiratory

Overventilating or underventilating - ANS-Overvent = alkalosis
Undervent = acidosis

If not lung then... - ANS-metabolic

Prolonged gastric vomiting or suctioning - ANS-alkalosis

Everything else that is not Lung... - ANS-Metabolic acidosis

High pressure vent alarm - ANS-Triggered by increased resistance to airflow (machine
has to push too hard to get air into the lungs)

Causes of high pressure vent alarms - ANS-Obstructions
1. Kinks in tubing --- unkink
2. Water condensing in loops --- empty condenser